Provider Demographics
NPI:1356947469
Name:CURTIS, MADELINE FRANCES
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:FRANCES
Last Name:CURTIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2716 HILTONWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-8207
Mailing Address - Country:US
Mailing Address - Phone:315-484-6144
Mailing Address - Fax:
Practice Address - Street 1:2716 HILTONWOOD RD
Practice Address - Street 2:
Practice Address - City:BALDWINSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13027-8207
Practice Address - Country:US
Practice Address - Phone:315-484-6144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-05
Last Update Date:2020-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1OtherN/A